Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $23.99 / $54.95 / $109.65	Facility		$23.99	$54.95	$109.65
Aetna Facility/Professional Professional Modifier Low / Median / High Price $15.14 / $16.98 / $42.66	Professional		$15.14	$16.98	$42.66
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $43.65 / $53.70 / $54.95	Facility		$43.65	$53.70	$54.95
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $9.12 / $9.12 / $81.28	Professional		$9.12	$9.12	$81.28
CareSource Facility/Professional Facility Modifier Low / Median / High Price $11.48 / $11.48 / $11.48	Facility		$11.48	$11.48	$11.48
Cigna Facility/Professional Facility Modifier Low / Median / High Price $56.23 / $64.57 / $104.71	Facility		$56.23	$64.57	$104.71
Cigna Facility/Professional Professional Modifier Low / Median / High Price $22.91 / $28.84 / $63.10	Professional		$22.91	$28.84	$63.10
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $12.30 / $40.74 / $147.91	Facility		$12.30	$40.74	$147.91
Medica Facility/Professional Facility Modifier Low / Median / High Price $12.30 / $18.20 / $95.50	Facility		$12.30	$18.20	$95.50
Medica Facility/Professional Professional Modifier Low / Median / High Price $11.75 / $15.14 / $41.69	Professional		$11.75	$15.14	$41.69
Molina Facility/Professional Professional Modifier Low / Median / High Price $10.00 / $19.95 / $85.11	Professional		$10.00	$19.95	$85.11
Quartz Facility/Professional Professional Modifier Low / Median / High Price $25.70 / $47.86 / $70.79	Professional		$25.70	$47.86	$70.79
Quartz Facility/Professional Facility Modifier Low / Median / High Price $40.74 / $40.74 / $95.50	Facility		$40.74	$40.74	$95.50
Quartz Facility/Professional Professional Modifier Low / Median / High Price $10.72 / $10.72 / $11.48	Professional		$10.72	$10.72	$11.48
Security Health Facility/Professional Professional Modifier Low / Median / High Price $19.05 / $19.05 / $42.66	Professional		$19.05	$19.05	$42.66
Security Health Facility/Professional Professional Modifier Low / Median / High Price $19.05 / $19.05 / $109.65	Professional		$19.05	$19.05	$109.65
United Facility/Professional Facility Modifier Low / Median / High Price $13.80 / $16.60 / $23.99	Facility		$13.80	$16.60	$23.99
United Facility/Professional Professional Modifier Low / Median / High Price $10.00 / $15.14 / $44.67	Professional		$10.00	$15.14	$44.67